FDA Adverse Event
Injury
Summary report: N
RESPIRONICS DREAMSTATION
MDR report key: 12307625
·
Received August 10, 2021
Report
- Report Number
- MW5103160
- Event Type
- Injury
- Date Received
- August 10, 2021
- Date of Event
- May 26, 2021
- Report Date
- August 8, 2021
- Manufacturer
- PHILLIPS / RESPIRONICS, INC.
- Product Code
- BZD
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- PA, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
SINCE (B)(6) 2021, I HAD HEADACHES ALMOST DAILY. I BEGAN TO NOTICE BY MID (B)(6) THAT DAYS WHEN I DIDN'T USE THE CPAP MACHINE, MY HEADACHES WERE NON EXISTENT. I NOTICED THE LENGTH OF USE EACH NIGHT WAS DIRECTED RELATED TO THE SEVERITY OF THE HEADACHE THE NEXT DAY. I ALSO EXPERIENCED SEVERAL ISSUES IF FUNNY FEELINGS IN MY CHEST. IT WASN'T REALLY PRESSURE AND IT WAS HARD TO DESCRIBE. SEVERAL HEART TEST WERE DONE AND NOTHING WAS FOUND. THE FIRST MONTH OFF THE MACHINE I HAD NO HEADACHES. I AM NOW EXPERIENCING THEM SOME DAYS EVEN WITHOUT USING THE MACHINE. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1197884 | RESPIRONICS DREAMSTATION | VENTILATOR, NON-CONTINUOUS (RESPIRATOR) | BZD | PHILLIPS / RESPIRONICS, INC. | DSX500H11C |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 61 YR | Disability |